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Individual

JALIDSA PELLICIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425-8905
(843) 792-2571
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425-8905

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MMD.32643LL
SC

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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